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Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study

PURPOSE: Cognitive decline and depression are two common mental health problems that may create a need for long-term care among the elderly. In the last decade, the percentage of older adults who receive health care in nursing homes, day care centers, or home support services has increased in Europe...

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Autores principales: Maseda, Ana, Balo, Aránzazu, Lorenzo–López, Laura, Lodeiro–Fernández, Leire, Rodríguez–Villamil, José Luis, Millán–Calenti, José Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4051620/
https://www.ncbi.nlm.nih.gov/pubmed/24940051
http://dx.doi.org/10.2147/CIA.S63084
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author Maseda, Ana
Balo, Aránzazu
Lorenzo–López, Laura
Lodeiro–Fernández, Leire
Rodríguez–Villamil, José Luis
Millán–Calenti, José Carlos
author_facet Maseda, Ana
Balo, Aránzazu
Lorenzo–López, Laura
Lodeiro–Fernández, Leire
Rodríguez–Villamil, José Luis
Millán–Calenti, José Carlos
author_sort Maseda, Ana
collection PubMed
description PURPOSE: Cognitive decline and depression are two common mental health problems that may create a need for long-term care among the elderly. In the last decade, the percentage of older adults who receive health care in nursing homes, day care centers, or home support services has increased in Europe. The objectives of this descriptive and nonrandomized longitudinal study were to evaluate and to compare the cognitive and affective evolution of day care versus institutionalized older patients through a 1-year period, and to assess the presence of cognitive and affective impairment as a function of the care setting. PATIENTS AND METHODS: Ninety-four patients were assessed at baseline, and 63 (67.0%) were reassessed 1 year later. Neuropsychological assessment included measures of cognitive performance (general cognitive status, visuospatial, and language abilities) and affective status (depressive symptoms). RESULTS: Our findings indicated that the majority of the participants (day care and institutionalized patients) had mild–moderate cognitive impairment at baseline, which significantly increased in both groups after 1-year follow-up. However, the rate of change in global cognitive function did not significantly differ between groups over time. Regarding language abilities, naming function maintained among day care patients in comparison with institutionalized patients, who showed worse performance at follow-up. As regards to affective status, results revealed that institutionalized patients had a significant reduction in depressive symptoms at follow-up, when compared to day care patients. Results also highlight the high frequency of cognitive impairment and depressive symptoms regardless of the care setting. CONCLUSION: Our findings revealed a similar global cognitive decline rate between patients receiving day care services and those residing in a nursing home at the 1-year follow-up, and slightly different trajectories in other outcomes such as naming function and depressive symptoms.
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spelling pubmed-40516202014-06-17 Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study Maseda, Ana Balo, Aránzazu Lorenzo–López, Laura Lodeiro–Fernández, Leire Rodríguez–Villamil, José Luis Millán–Calenti, José Carlos Clin Interv Aging Original Research PURPOSE: Cognitive decline and depression are two common mental health problems that may create a need for long-term care among the elderly. In the last decade, the percentage of older adults who receive health care in nursing homes, day care centers, or home support services has increased in Europe. The objectives of this descriptive and nonrandomized longitudinal study were to evaluate and to compare the cognitive and affective evolution of day care versus institutionalized older patients through a 1-year period, and to assess the presence of cognitive and affective impairment as a function of the care setting. PATIENTS AND METHODS: Ninety-four patients were assessed at baseline, and 63 (67.0%) were reassessed 1 year later. Neuropsychological assessment included measures of cognitive performance (general cognitive status, visuospatial, and language abilities) and affective status (depressive symptoms). RESULTS: Our findings indicated that the majority of the participants (day care and institutionalized patients) had mild–moderate cognitive impairment at baseline, which significantly increased in both groups after 1-year follow-up. However, the rate of change in global cognitive function did not significantly differ between groups over time. Regarding language abilities, naming function maintained among day care patients in comparison with institutionalized patients, who showed worse performance at follow-up. As regards to affective status, results revealed that institutionalized patients had a significant reduction in depressive symptoms at follow-up, when compared to day care patients. Results also highlight the high frequency of cognitive impairment and depressive symptoms regardless of the care setting. CONCLUSION: Our findings revealed a similar global cognitive decline rate between patients receiving day care services and those residing in a nursing home at the 1-year follow-up, and slightly different trajectories in other outcomes such as naming function and depressive symptoms. Dove Medical Press 2014-06-05 /pmc/articles/PMC4051620/ /pubmed/24940051 http://dx.doi.org/10.2147/CIA.S63084 Text en © 2014 Maseda et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Maseda, Ana
Balo, Aránzazu
Lorenzo–López, Laura
Lodeiro–Fernández, Leire
Rodríguez–Villamil, José Luis
Millán–Calenti, José Carlos
Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
title Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
title_full Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
title_fullStr Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
title_full_unstemmed Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
title_short Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
title_sort cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4051620/
https://www.ncbi.nlm.nih.gov/pubmed/24940051
http://dx.doi.org/10.2147/CIA.S63084
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